21D0219525 CLIA NUMBER - GYNEMED SURGICAL CENTER

Laboratory Demographics

  • CLIA Code: 21D0219525
  • Facility Name: GYNEMED SURGICAL CENTER
  • Facility Address: 17 FONTANA LANE SUITE 201
    BALTIMORE, MD
    ZIP 21237
  • Facility Phone: 410 391-1000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. STEPHANIE D. PURNELL
  • NPI Number: 1295946820
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 21D0219525
LAB Type Ambulatory Surgery Center
Facility Name GYNEMED SURGICAL CENTER
Street 17 FONTANA LANE SUITE 201
City BALTIMORE
State MD
ZIP 21237
Phone 410 391-1000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Ambulatory Surgery Center
Lab Director DR. STEPHANIE D. PURNELL

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This page was last updated on: 9/29/2025